Individual
MATTHEW JAMES AUSSPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 BOILING SPRINGS RD STE 1700, SPARTANBURG, SC 29303-4208
(864) 560-6844
(864) 560-7015
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
86344
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
863444
—
SC
01
—
SCK6963365
MEDICARE PIN
SC
01
—
SCK6965019
MEDICARE PIN
SC
Enumeration date
04/07/2016
Last updated
09/16/2021
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